Individual
DR. ROBERT PARKS HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4747 MAIN ST, BRIDGEPORT, CT 06606-1804
(203) 371-5595
(203) 372-4912
Mailing address
4747 MAIN ST, BRIDGEPORT, CT 06606-1804
(203) 371-5595
(203) 372-4912
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11051
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS036182
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
G1-0001298
DE
Other
Enumeration date
08/10/2005
Last updated
12/06/2013
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